v3.8.0.1
Medical Claims Liability - Incurred Claims and Allocated Claims Adjustment Expenses (Details) - Health insurance product line
claim in Millions, $ in Millions
Dec. 31, 2017
USD ($)
claim
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Claims Development [Line Items]      
Short-duration insurance contracts, incurred claims and allocated claim adjustment expense, net $ 102,831    
Short-duration insurance contracts, accident year 2015      
Claims Development [Line Items]      
Short-duration insurance contracts, incurred claims and allocated claim adjustment expense, net 30,310 $ 30,325 $ 30,619
Short-duration insurance contracts, expected development on reported claims $ 0    
Short-duration Insurance contracts, number of reported claims | claim 156.7    
Short-duration insurance contracts, accident year 2016      
Claims Development [Line Items]      
Short-duration insurance contracts, incurred claims and allocated claim adjustment expense, net $ 34,296 $ 34,655  
Short-duration insurance contracts, expected development on reported claims $ 48    
Short-duration Insurance contracts, number of reported claims | claim 179.1    
Short-duration insurance contracts, accident year 2017      
Claims Development [Line Items]      
Short-duration insurance contracts, incurred claims and allocated claim adjustment expense, net $ 38,225    
Short-duration insurance contracts, expected development on reported claims $ 3,330    
Short-duration Insurance contracts, number of reported claims | claim 192.0